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Nevada rates for HCPCS L3901

Wrist-hand-finger orthosis (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.13 / $734.13 / $847.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.32 / $734.13 / $859.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,149.73 / $2,149.73 / $2,149.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.00 / $1,079.00 / $2,362.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.01 / $1,107.01 / $1,582.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.12 / $1,107.01 / $1,473.58
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.45 / $1,719.78 / $2,794.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.04 / $883.84 / $1,436.40